https://doi.org/10.4081/ecj.2022.10640

The state of the art of the management of anticoagulated patients with mild traumatic brain injury in the Emergency Department

Vol. 18 No. 2 (2022)
Submitted: 25 May 2022
Accepted: 14 June 2022
Published: 27 June 2022
Mild traumatic brain injury, oral anticoagulation therapy
Abstract Views: 3201
PDF: 745
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Authors

Naria Park
nariapark01@gmail.com
Medicina d’Urgenza Universitaria Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.
Gianni Turcato
Dipartimento di Emergenza Ospedale di Merano, Merano, Italy.
Arian Zaboli
Dipartimento di Emergenza Ospedale di Merano, Merano, Italy.
Massimo Santini
Medicina d’Urgenza e Pronto Soccorso Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.
Alessandro Cipriano
https://orcid.org/0000-0001-7085-3621
Medicina d’Urgenza e Pronto Soccorso Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.

The effects of Oral Anticoagulation Therapy (OAT) in older patients who suffered a mild Traumatic Brain Injury (mTBI) are widely debated but still strong guidelines are lacking and clinical approaches and management are sometimes heterogeneous. Different predictors of adverse outcomes were identified in the literature but their use in the decision-making process is unclear. Moreover, there is no consensus on the appropriate length of stay in the Observation Unit nor on the continuation of OAT, even if the diagnosis of life-threatening delayed post-traumatic Intracranial Hemorrhage is rare. The recurrence of a control CT scan is often needless. This review aims to summarize recent scientific literature focusing on patients with mTBI taking OAT and to identify crucial questions on the topic to suggest a best clinical practice.

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How to Cite

Park, N., Turcato, G., Zaboli, A., Santini, M., & Cipriano, A. (2022). The state of the art of the management of anticoagulated patients with mild traumatic brain injury in the Emergency Department. Emergency Care Journal, 18(2). https://doi.org/10.4081/ecj.2022.10640

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